tci Part B Insider - 2007 Issue 23

PART B MYTH BUSTER: Rally Your Carrier Around Moderate Sedation Coverage

Second doctor collaborating on sedation is best betMyth: Medicare won't ever pay for new moderate sedation codes 99143-99145 and 99148-99150.Reality: These codes, which came out in 2006, are -carrier-priced.- That means it's up to the Part B carriers to decide whether to cover them, and how much to pay. And the good news is many carriers have started reimbursing these codes.The codes have been around for about 18 months now, but carriers started to pay for them about nine months ago, according to Michael Granovsky, a physician and president of MRSI, a coding and billing company...

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